Philips iU22 Ultrasound System Advanced System Training 台灣醫療事жҐдїќеЃҐйѓЁй–Ђ 臨床應用專員 楊欣蓓 Agenda •System overview •Imaging modes •Caliper / Calculation •Review and Image management •Q & A Confidential Divison, MMMM dd, yyyy, Reference 2 System overview •System •Transducers •Peripherals Confidential Divison, MMMM dd, yyyy, Reference System overview Power ON / OFF Confidential Divison, MMMM dd, yyyy, Reference System overview Transducer Port Confidential Divison, MMMM dd, yyyy, Reference System overview Touch screen Green Tabs Touch Screen Buttons Green Outline Touch Screen Rotary Knob Display Confidential Divison, MMMM dd, yyyy, Reference System overview Keyboard / Control Panel Left Confidential Center Divison, MMMM dd, yyyy, Reference Right System Overview Control Panel –Tri State Lighting Green = Active Amber = Available Off = Unavailable Confidential Divison, MMMM dd, yyyy, Reference System overview Control Panel - Left Physio Report Protocol Review Patient Data Transducer End Exam Confidential Divison, MMMM dd, yyyy, Reference System overview Control Panel - Center 2D Color PW Zoom CPA M-mode CW Capture (max10min) Confidential Divison, MMMM dd, yyyy, Reference System overview Control Panel - Center Freeze Depth Focus Update Caliper Calc Pointer Trackball Click Confidential Divison, MMMM dd, yyyy, Reference System overview Control Panel - Right Record VCR Volume Annotate, Erase Text Body Marker TGC iSCAN Print Confidential Divison, MMMM dd, yyyy, Reference Start Exam - Power on - Patient data - Transducer / Application Monitor Screen Confidential Divison, MMMM dd, yyyy, Reference Imaging Modes 2D - Depth - Gain - Compress - TGC - Focus / Focus range - Compress - 2D opt : Pen / Gen / Res / HPen / HGen / Hres - SonoCT - XRes - DRS - AGC - iSCAN Confidential Divison, MMMM dd, yyyy, Reference Gain - 接受音訊的放大器 Compress - Dynamic range (е‹•ж…‹зЇ„ењЌ) Echo levels 0 Tissue air { Large boundar y echoes Tissu e Mapping functions Compression -20 Tissue bone -40 Fat muscle { { -60 Placenta Liver -80 Kidney Parenchyma Dynamic range -100 Blood Noise Compression -120 Electronic noise 0 Min Gray Shade 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Max Gray Shade дєєзњјеЏЇиѕЁи�зЃ°йљЋ -140 Confidential Gray scale Monitor Display Divison, MMMM dd, yyyy, Reference Philips Technology Broadband Confidential Divison, MMMM dd, yyyy, Reference Philips Technology Broadband Pen Confidential Res Divison, MMMM dd, yyyy, Reference Philips Technology SonoCT Conventional image Confidential SonoCT image Divison, MMMM dd, yyyy, Reference Philips Technology SonoCT –連續擷取不同角度的多 張圖像,獲致更多彎曲 與不規則組織之訊號, 影像大為清晰, –可消除斑點雜訊、多重 反射雜訊、不規則的反 е°„й›њиЁЉпјЊи‡ЁеєЉдёЉи‰еЇ¦йќћ еёёжњ‰ж•€ Confidential Divison, MMMM dd, yyyy, Reference Philips Technology XRes –利用影像處理技術快速 зљ„иЁ€з®—жЇЏејµењ–еѓЏдёЉзљ„ж•ё е„„еЂ‹еЅ±еѓЏиі‡ж–™ –消除很多雜訊並增強了 組織邊際與分界 Confidential Divison, MMMM dd, yyyy, Reference Philips Technology DRS (Dynamic Resolution System) Res-Spd/ Res- Pen DRS is a macro control that provides instantaneous one button adjustment of temporal vs. spatial resolution in 2D, 3D, color and CPA modes. The feature is designed to give the user the best combinations of multiple controls when they need to choose between fast frame rates or optimal image quality. Confidential Divison, MMMM dd, yyyy, Reference Philips Technology DRS (Dynamic Resolution System) Res-Spd / Res- Pen Dynamic Resolution System - one control that adjusts nearly 40 parameters simultaneously to optimize functions such as: В· Line density , Persistence, Number of lines of sight (SonoCT)… R1 is optimized for maximum image quality R1 is optimized for color resolution RS provides the best overall choice of system settings P1 is optimized for color sensitivity S1 is optimized to improve speed Confidential 2D Color Divison, MMMM dd, yyyy, Reference Philips Technology AGC ( Adaptive Gain Compensation ) AGC works continuously to correct for localized attenuation and enhancement variations not accounted for by Time Gain Compensation (TGC). AGC does not control overall gain or compression. AGC is hardware controlled and there is no effect to frame rate when activated. While AGC is activated all other controls (TGC, gain, etc.) will respond normally. Confidential Divison, MMMM dd, yyyy, Reference Philips Technology iSCAN •Uses system intelligence to automatically adjust: –TGC based on tissue attenuation –Receiver gain based on overall tissue brightness –Re-map compression curve based on range of detectable tissue signals –Doppler gain based on Doppler signal strength –Doppler PRF based on maximum detectable velocity –Doppler Baseline based on forward/reverse flow components Confidential Divison, MMMM dd, yyyy, Reference Philips Technology How does AGC differ from iSCAN? iSCAN is an automated image optimization process using user-available controls (gain, TGC, compression). iSCAN optimizes the image each time the Iscan button is pressed. The purpose of iSCAN is global image optimization. AGC is a signal processing technique that dynamically adjusts the gain of every sample in real time. AGC runs continuously when activated. The purpose of AGC is dynamic correction of localized gain artifacts. Confidential Divison, MMMM dd, yyyy, Reference Imaging Modes Color - Color box position / size - Gain - Scale - Invert - Flow Opt: Low / Med / High - Color compare * What are the benefits? Confidential Divison, MMMM dd, yyyy, Reference Imaging Modes PW 選定好位置後, иЄїж•ґSV и§’еє¦, жЊ‰ “ Update”, “ High-Q” Confidential Divison, MMMM dd, yyyy, Reference Imaging Modes CPA ( Color Power Angio ) - an amplitude mode color display showing the intensity of Doppler shifts. CPA is useful for showing slow or diminished flow due to the fact that it is less angle dependent than color flow imaging. Confidential Divison, MMMM dd, yyyy, Reference Imaging Modes CPA and Doppler Confidential CPA compare Divison, MMMM dd, yyyy, Reference Imaging Modes Directional CPA Confidential Divison, MMMM dd, yyyy, Reference Caliper and Calculation Confidential Divison, MMMM dd, yyyy, Reference Volume •3 Distance Vol •1 Distance Vol •Dist+ Ellip Vol •Vol Distance •Volume Ellipse Confidential Divison, MMMM dd, yyyy, Reference Volume A. 3 Distance Volume 1) ж–ј2D жё¬й‡Џ Volume Distance 1, Volume Distance 2 2) еЏ¦еЏ–дёЂжЈдє¤90度之平面測量Volume Distance 3 , Done ,еЌі еЏЇеѕ—VolumeгЂ‚ *й•· X еЇ¬ X й«� X 0.523 = Volume Confidential Divison, MMMM dd, yyyy, Reference B. I Distance Volume 1) ж–ј2D жё¬й‡Џ 1 Distance Volume ,еЌіеЏЇеѕ— volumeгЂ‚ * ж¤дї‚利用三個相з‰зљ„и·ќй›ўз®—е‡є C. 1 Distance and 1 Ellipse Volume 1) ж–ј2D жё¬й‡Џ дёЂ Volume Distance 2) еЏ¦еЏ–дёЂжЈдє¤90度之平面測量 Volume Ellipse , з•«е‡є ellipse жё¬й‡Џ(еЌідёЂж©ўењ“еЅў),еЌіеЏЇеѕ— volumeгЂ‚ Confidential Divison, MMMM dd, yyyy, Reference Caliper and Calculation Press the Calc button and select the desired label Confidential Divison, MMMM dd, yyyy, Reference Review and Image management Confidential Divison, MMMM dd, yyyy, Reference Review and Image management Review •Press Review •Is exam in progress? •System enters image review or patient directory Confidential Divison, MMMM dd, yyyy, Reference Review and Image management Patient Directory - Search Search Confidential Divison, MMMM dd, yyyy, Reference Review and Image management Patient Directory –Lock Study Confidential Divison, MMMM dd, yyyy, Reference Review and Image Management Patient Directory –Exam Status Confidential Divison, MMMM dd, yyyy, Reference Review and Image Management Patient Directory –Network Status Print Status Confidential Archive Status Commit Status Divison, MMMM dd, yyyy, Reference Export to DVD status Review and Image Management Image Review Display Exam Confidential Divison, MMMM dd, yyyy, Reference Review and Image Management Image Review Screen Thumbnail region Selected patient exams Confidential Divison, MMMM dd, yyyy, Reference Review and Image Management Delete Image Delete Selected Confidential Divison, MMMM dd, yyyy, Reference Review and Image Management Export Media –JPG/AVI To Media as JPG/AVI Confidential Divison, MMMM dd, yyyy, Reference Confidential Divison, MMMM dd, yyyy, Reference Thank you for your attention
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